Sultan Mohiuddin MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

11629 Issued in NY

Legal business name

SULTAN MOHIUDDIN MD PC

Practice address

300 E Main St
Suite 2
Smithtown, NY 11787-2900

Phone

(631) 979-0212

Fax

(631) 979-0237

NPI assigned

Jul 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sultan Mohiuddin, MD

Title

MD

Phone

(631) 979-0212

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1427210244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872900",
            "telephone_number": "631-979-0212",
            "fax_number": "631-979-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872900",
            "telephone_number": "631-979-0212",
            "fax_number": "631-979-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULTAN MOHIUDDIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "MOHIUDDIN",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-979-0212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "11629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00206991",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suffolk Spine and Rehabilitation Medicine
• Marjorie Beth Sugarman, LCSW-R, BCD, DCSW
• Jennifer Sullivan
• Joseph C Sullivan III, DC
• Nicole Ashley Sullivan, LCSW
• Sultan Mohiuddin, MD
• Esther Sumitra-Albert, M.D.
• Julia Sung-Monahan, RPH
• Sunrise Psychology, PLLC
• Sunrise Smithtown Al LLC (Sunrise of Smithtown)

• Specialist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.